The Autism Diagnosis Part I: First Pediatrician Appointment
Tuesday September 22nd, 2009 // Written by Andrea
Almost three months ago we got the official diagnosis of autism. We had waited almost three months for the appointment with the developmental pediatrician and I can’t even tell you how nervous I was for it. We pretty much knew what he was going to say, but I still had hope that we would not get the diagnosis of autism.
So I got everyone dressed nice that morning. I made sure Odum and I where in our best “respectable good parent” clothes, which of course were also bike friendly. I dressed Maya in her cutest “eat me I’m so adorable” outfit. And Tristan in a cute little collared shirt that said “I’m such a sweet little man”. I mean if you have a good looking and well put together, perfect looking family how can you possibly give one of the most devastating diagnoses right?
We get the office and the receptionist is nice, the waiting room is empty and there are toys. So far so good. We get called into the office and all hell breaks lose. Tristan loses it and goes into a nuclear holocaust meltdown, the likes of which I have never seen. I have no idea what triggered it. There were no toys in the office but we brought the toy he was playing with in with us, but to no avail. We’re in there for about 45 minutes and he tells us Tristan fits the criteria and he’s going to give him the diagnosis of autism. This whole time Tristan is screaming and the doctor literally winces at every high pitched squeal and doesn’t try anything to calm him or even interact with him in any way, doesn’t even attempt an examination. Seriously I thought this guy was a pediatrician, the leading developmental pediatrician and autism expert in our city. Doesn’t he deal with this type of behaviour on a daily basis?
So we start talking about autism. He tells us it’s genetic. I politely disagree telling him there is no history in either mine or Odum’s family of any type of developmental delay. His response is we have more questions about autism, than answers. We tell him we have Tristan on the gluten free/casein free diet and have noticed some good results. He scoffs and says well if you want to go to all that trouble go for it but it usually isn’t helpful and no studies have been done to prove its useful.
Um hello, we just freaking told you it’s been helping! Odum and I had talked before the appointment about asking the doctor about biomedical intervention but at this point through spousal telepathy we decided to not even bother. He then says we can talk about prescribing drugs to help problem behaviour. Really let’s just mask the behaviour and not find out why it’s happening, ya lets just dope him up so he sits in the corner staring off into space and drooling, sounds like a great idea doc! He then tells us that Tristan will probably always have to live with us and won’t be able to be independent. He tells us all he can do is refer Tristan to IBI therapy which is a three year wait list and you don’t even get on the wait list until Tristan is screened to see if he is autistic enough. Wow! Thanks for the hope doctor, seriously you’re the expert?
So that’s how our first appointment with this guy ended. Can you tell that I was super excited to take Tristan for his three month follow up appointment? But in a way I was interested to see how Tristan behaves and what differences the doctor sees (by the way we have recently been to the doctor again for his three month follow up and I’ll post what happened there shortly).
In the last three months Tristan has come so far. He’s talking now! My goal for Tristan is to go back to the doctor one day and be undiagnosed. I just know he’s going to prove this guy wrong, and maybe even change his mind about how to treat kids with autism and how to talk to their parents. It’s called bedside manner buddy!
Do you think the doctor was just trying not to give us false hope and help us plan for the worst? Or do you think this guy just needs an attitude adjustment?
3 comments in the discussion so far...
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Wow! Why is it that some Doctors are so BAD at the whole “bedside manner” thing?
Maybe he is the type to give a worst case senario so that the only way is up?? Its a crude psychological trick but maybe it works for many of the parents, either way its not on for him to at least listen to your story and to hear your opinion on how you wish your son to be treated.
Even if he thinks your talking rubbish he should still nod and smile and say “sure you can try that it can’t do any harm” rather than talk down to you and treat your theories with disdane.
You guys are the ones who live day to day with Tristan and know what helps and what dosn’t, and so far as I can see you are doing the best you can LONG TERM for him, rather than just getting a quick fix perscription for an easy life.
xx
Nope some doctor’s just really suck. When i had cystic hygroma my family doctor flat out told me that i was looking for attention and there was no need for me to get the medication. Nevermind the fact that i had a whole file on it with 3 hospital stays. I’m glad i’ve now found a specialist that knows enough about it to believe me and be able to help me out. I guess some doctors just only believe in what they know, have done and know what works. As soon as someone approaches them with something they’ve never tried out or even researched they’ll shut you down on it because they should be the one who knows best. I’ve noticed a big improvement in Tristan so in my opinion you’ve done what’s best for your child and I’m glad you have stuck with what you thought was best instead of listening to that doctor. Lets hope he changes his attitude when he sees how well it’s working out for Tristan
Kelly – disdane is definitely the word to describe how he treated biomedical intervention, it was disappointing to see someone be so closeminded on treatments that can’t hurt. Thank you so much again for the words of encouragement!
Esther – as if the dr said that to you, and you could barely breathe through all that! I agree I think a lot of doctors think they are know it alls and as close to God as a human can get. Its always so great to hear when other people see improvement in Tristan, thanks so much!